Aybala Neslihan ALAGÖZ, Seher ŞİRİN, Sena Destan BÜNÜL

Gerilim Tipi Baş Ağrısı Hastalarında Temporomandibular Disfonksiyon Birlikteliği

GİRİŞ ve AMAÇ: Baş ağrısı toplumda yaygındır ve en sık gerilim tipi baş ağrıları (GTBA) görülmektedir. Temporomandibular disfonksiyon (TMD) hastalarındada en sık görülen üç semptomdan biri GTBA’larıdır. Ağrılı TMD’ları; primer başağrıları gibi diğer ağrılı durumlar ile güçlü bir şekilde ilişkilendirilmektedir. Bizim çalışmamızda; GTBA hastalarındaki TMD özellikleri ve TMD konservatif tedavisinin GTBA üzerine etkisi araştırılmıştır. YÖNTEM ve GEREÇLER: Çalışmaya 50 GTBA hastası alındı, 29 tanesinde ağrılı TMD saptandı. Her iki durum için, ağrılarını vizüel analog skala (VAS) ile derecelendirmeleri istenildi. 4 hafta boyunca bilişsel davranışçı terapi uygulamaları önerildi. Bu tedavi yönetiminin TMD ve GTBA nedenli ağrı kontrolü üzerindeki etkisi değerlendirildi. BULGULAR: Hem epizodik GTBA (EGTBA) hem kronik GTBA(KGTBA) olgularında, TMD tedavisi öncesine göre tedavi sonrası, VAS ölçümlerindeki düşüşler istatistiksel olarak anlamlı bulunmuştur (p=0.002; p

Temporomandibular Dysfunction in Patients with Tension Type Headache

INTRODUCTION: Headache is common in the world and the most common type is tension type headache (TTH). One of the three most common symptoms in patients with temporomandibular dysfunction (TMD). Painful TMD; it is strongly associated with other painful conditions such as primary headaches. In our study; TMD features and effects of TMD cognitive treatment on TTH were investigated. METHODS: 50 patients of TTH were included in the study, 29 of them had painful TMD. In boths cases, they were asked to rate their pain with a visual analog scale (VAS). Cognitive behavioral therapy was recommended for 4 weeks. The effects of this treatment on pain control due to TMD and TTH were evaluated. RESULTS: Decreases in TMD VAS measurements after TMD treatment were found to be statistically significant (p=0.002; p

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